Surgical Reconstruction of Lower Face Degloving

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dc.contributor.authorPinto Faria, Paulo Esteves
dc.contributor.authorGomes de Souza Carvalho, Abrahao Cavalcante
dc.contributor.authorMasalskas, Barbara
dc.contributor.authorChihara, Leticia
dc.contributor.authorSant'Ana, Eduardo
dc.contributor.authorMagro Filho, Osvaldo [UNESP]
dc.contributor.institutionUniv Ribeirao Preto
dc.contributor.institutionUniv Ctr Unichristus
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2018-11-27T22:55:15Z
dc.date.available2018-11-27T22:55:15Z
dc.date.issued2016-10-01
dc.description.abstractOne of the most impressive soft tissue injuries is the facial degloving, normally associated with industrial machines and traffic accidents. This injury is characterized by the separation of the skin and cartilage from the bones, compromising the soft tissues correlated in the trauma area, nerves, and blood vessels. A 28-year-old patient, male, was referred to Aracatuba's Santa Casa Hospital, after a motorcycle accident, hitting his face on the sidewalk. The patient was conscious, oriented, denying fainting and unconsciousness during the accident, and complaining of pain in the nasal region of the face. The suture of wounds was performed using 5-0 absorbable sutures for muscle planes, and reconstruction of the septum and nasal cartilages. The skin was sutured with interrupted stitches using 6-0 nylon. After reducing the edema, a slight increase in alar base was observed. Subsequently, the alar base cinch suture was performed aiming to bring the alar bases to a measure of 34.0mm in diameter. As a conclusion, the knowledge of the anatomy of the region involved, the healing of tissues, and suture techniques for the facial region process were critical to the successful treatment. The evaluation of the alar base in degloving cases can involve aesthetic features.en
dc.description.affiliationUniv Ribeirao Preto, UNAERP, Sao Paulo, Brazil
dc.description.affiliationUniv Ctr Unichristus, Fortaleza, Ceara, Brazil
dc.description.affiliationUniv Sao Paulo, Bauru, Brazil
dc.description.affiliationUniv State Sao Paulo, UNESP, Aracatuba, Brazil
dc.description.affiliationUnespUniv State Sao Paulo, UNESP, Aracatuba, Brazil
dc.format.extentE683-E685
dc.identifierhttp://dx.doi.org/10.1097/SCS.0000000000003067
dc.identifier.citationJournal Of Craniofacial Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 27, n. 7, p. E683-E685, 2016.
dc.identifier.doi10.1097/SCS.0000000000003067
dc.identifier.issn1049-2275
dc.identifier.lattes5535418670745125
dc.identifier.urihttp://hdl.handle.net/11449/165355
dc.identifier.wosWOS:000386352100042
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofJournal Of Craniofacial Surgery
dc.relation.ispartofsjr0,448
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectAlar base cinch suture
dc.subjectfacial degloving
dc.subjectfacial trauma
dc.titleSurgical Reconstruction of Lower Face Deglovingen
dc.typeArtigo
dcterms.rightsHolderLippincott Williams & Wilkins
unesp.author.lattes5535418670745125

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Artigos - Cirurgia e Clínica Integrada - FOA